Healthcare Provider Details

I. General information

NPI: 1487884193
Provider Name (Legal Business Name): AMI WALTERS-ATKINS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMI WALTERS RN

II. Dates (important events)

Enumeration Date: 07/16/2009
Last Update Date: 07/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4444 E 41ST ST SUITE 2302
TULSA OK
74135-2527
US

IV. Provider business mailing address

4444 E 41ST ST SUITE 2302
TULSA OK
74135-2527
US

V. Phone/Fax

Practice location:
  • Phone: 918-660-3151
  • Fax:
Mailing address:
  • Phone: 918-660-3151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number92689
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: